Lymph Node Sampling in Pediatric Renal Tumors: Survey of Current Practices and Impact of Education.

Autor: Szymanski KW; Department of Surgery, Division of Urology, University of Colorado School of Medicine, Aurora, CO., Pessoa RR; Department of Surgery, Division of Urology, University of Colorado School of Medicine, Aurora, CO., Kim JK; Department of Urology, University of Kentucky College of Medicine, Lexington, KY., Buchanan AF; Department of Urology, University of Kentucky College of Medicine, Lexington, KY., Hecht SL; Department of Urology, Oregon Health and Sciences University, Portland, OR., Walker JP; Atrium Health Levine Children's Hospital, Charlotte, NC., Cost NG; Department of Surgery, Division of Urology, University of Colorado School of Medicine, Aurora, CO; Surgical Oncology Program, Children's Hospital Colorado, Aurora, CO. Electronic address: nicholas.cost@childrenscolorado.org.
Jazyk: angličtina
Zdroj: Urology [Urology] 2024 Oct 16. Date of Electronic Publication: 2024 Oct 16.
DOI: 10.1016/j.urology.2024.09.041
Abstrakt: Objective: To characterize how often and to what extent surgeons are willing to perform retroperitoneal node sampling (RPLNS) for a unilateral renal tumor, and whether they would be encouraged to change goal number of LNs after "targeted education" (TE) METHODS: A survey with selected demographic and LN sampling practice questions was distributed to practicing members of the Society of Pediatric Urology (SPU). After answering a 7-question questionnaire, participants were provided with an abstract on the adequacy of LN yield for staging. This served as the TE and then participants were asked to answer a final question on LN sampling goals.
Results: A total of 76 (19.2%) of participants, out of 395 invitations, returned complete surveys. Cross tabulation between sampling goals before and after TE showed that among surgeons sampling 1-4 nodes, 13/24 (54.16%) would be willing to change their practice and sample ≥10 nodes. A higher proportion of participants who were already systematically surveilling 5-9 LNs would be willing to change their current practice: 30/39 (77%) would now aim for ≥10 LNs. On multivariate analysis, only willingness to sample ≥5 LNs in current practice was predictive of changing to sample ≥10 LNs after TE.
Conclusion: Retroperitoneal LNs are currently still under sampled by pediatric urologists operating on children and adolescents with unilateral renal tumors. TE appears to encourage change in LN sampling practices.
Competing Interests: Declaration of Competing Interest The authors have no conflict of interest to declare.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: